| NPI | 1336272970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930075) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma00012973) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-09-23 |