| NPI | 1912643552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-15865) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-01-03 |