| NPI | 1992049795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-0719) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2022-04-14 |