| NPI | 1346451523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7649-123) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 4982-146) |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2010-11-10 |