| NPI | 1093080715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-352430) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma65766) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2024-07-16 |