NPI | 1487371951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW11671) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA99020) |
Enumeration Date | 2022-10-25 |
Last Update Date | 2022-10-25 |