| NPI | 1366625329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-418087) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA39827) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2025-03-15 |