| NPI | 1902273972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-119875) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA71546) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2023-02-24 |