| NPI | 1528204872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225700000X Massage Therapist (Licence: IL 227.012847) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2019-11-07 |