| NPI | 1356981427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 576578-09) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-10-24 |