| NPI | 1972055044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 24440) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2024-08-08 |