| NPI | 1811699481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AK RBT-25-449258) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 196694) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-06-30 |