| NPI | 1770849598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-19-106464) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60074085) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-12-07 |