| NPI | 1841721800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11347) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA26215) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2025-03-03 |