| NPI | 1245719368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-30213) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NM R56638) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-10-04 |