| NPI | 1184915910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17642) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA20196) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2021-08-04 |