| NPI | 1134963481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 2013-3143) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |