| NPI | 1295422897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-333065) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-04-28 |