| NPI | 1710633268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA97550) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2023-05-26 |