| NPI | 1851935670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40475) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2023-12-06 |