| NPI | 1558869065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 29122) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04281) |
| 225700000X Massage Therapist (Licence: GA MT014041) | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-09-14 |