| NPI | 1245531938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: FL MA60624) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2019-07-17 |