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 |