| NPI | 1053927137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 012016-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105367) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-10-28 |