| NPI | 1396384152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-233043) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019017046) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2023-01-30 |