| NPI | 1043757172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60609992) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2018-11-27 |