| NPI | 1255848230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61134017) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2024-12-11 |