| NPI | 1457902660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA ma61383977) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2022-12-16 |