| NPI | 1063733459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SL06789100) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT01360200) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2022-09-22 |