| NPI | 1245523471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL ma63116) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-24-399962) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2025-02-05 |