| NPI | 1881059970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT00874400) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2018-06-20 |