| NPI | 1992106447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47102) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-02-01 |