| NPI | 1437400397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-435422) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA68668) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2025-05-10 |