| NPI | 1164754362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT119345) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IL 227008019) |
| 174H00000X Health Educator | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2022-07-21 |