| NPI | 1447673884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60432533) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-03-15 |