| NPI | 1184896680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 0794) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 0277) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2024-05-17 |