| NPI | 1588934277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-129393) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA54853) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2021-05-27 |