NPI | 1760015291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT24324173) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MA93671) |
Enumeration Date | 2020-02-12 |
Last Update Date | 2024-10-14 |