| NPI | 1144661828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-842) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 6221) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-10-18 |