| NPI | 1477922060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 24-347979) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA66386) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2026-03-24 |