| NPI | 1053792333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-86822) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA71644) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2026-03-18 |