| NPI | 1447846324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-128004) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2021-11-24 |