NPI | 1720401185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
174H00000X Health Educator | |
225700000X Massage Therapist (Licence: CA 47317) | |
Enumeration Date | 2014-01-21 |
Last Update Date | 2024-03-21 |