| NPI | 1528489382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60430644) |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2021-08-03 |