| NPI | 1225687742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 14207384-3502) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 225700000X Massage Therapist (Licence: HI 15779) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-10-05 |