| NPI | 1578142956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: DC MT200001428) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-07-25 |