| NPI | 1780406017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019019389) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-12-16 |