| NPI | 1891049946 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00022820) | 
| Enumeration Date | 2012-10-27 | 
| Last Update Date | 2023-10-19 |