| NPI | 1295050573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL rbt-24-399991) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA58749) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2025-01-05 |