| NPI | 1285192047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61261063) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2022-01-21 |