| NPI | 1831970508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501010816) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-01-23 |