| NPI | 1952002016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA105755) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-09-04 |