| NPI | 1346685104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 100785) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma68133) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2022-11-15 |