| 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 |