| NPI | 1003696337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019020192) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2025-01-27 |