| NPI | 1467093740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42123) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA60371) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-06-15 |