| NPI | 1891491486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ mt-28479) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |