NPI | 1962771477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32623) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-14-5808) |
Enumeration Date | 2011-12-29 |
Last Update Date | 2019-11-17 |