| NPI | 1063933737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119449) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61392155) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-05-01 |