| NPI | 1568018208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501014617) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2021-11-10 |