| NPI | 1083672448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW4384) |
| 225700000X Massage Therapist (Licence: FL MA50355) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-03-17 |