| NPI | 1497082275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT21-178756) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL MA52358) |
| 106S00000X Behavior Technician | |
| 225700000X Massage Therapist (Licence: FL MA52358) | |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2024-06-28 |