| NPI | 1396979464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-10141) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 5526) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2018-03-17 |