| NPI | 1326300799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225700000X Massage Therapist (Licence: FL MA97136) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-04-18 |