| NPI | 1376138628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501006722) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-10-24 |