| NPI | 1578855391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-70078) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA61820) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2025-02-20 |