| NPI | 1033977798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: PA BH006714) |
| 225700000X Massage Therapist (Licence: PA MSG013423) | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2025-08-12 |