| NPI | 1033445242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 127464) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 016959) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2025-08-04 |