| NPI | 1174191597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 18343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 233074) |
| 171M00000X Case Manager/Care Coordinator (Licence: NC 4250206) | |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2021-06-13 |