| NPI | 1053125740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-18417) |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2026-03-10 |