NPI | 1770117764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG014942) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-20-41153) |
Enumeration Date | 2020-02-27 |
Last Update Date | 2024-09-11 |