| NPI | 1720637473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-118353) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 40091) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-05-16 |