| NPI | 1912482670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.026346) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-01-12 |