| NPI | 1093140899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OK 175081) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2020-11-18 |