| NPI | 1992343776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA34508) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2026-01-25 |