| NPI | 1114690757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 27378) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-10-12 |