| NPI | 1073100509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| 225700000X Massage Therapist (Licence: FL MA97035) | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2023-02-13 |