| NPI | 1497335764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-283674) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-08-07 |