| NPI | 1013295765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00013047) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2013-03-05 |