| NPI | 1730404633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-09-5040) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 57488) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-06 |