| NPI | 1609084433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1020235) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 485) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-09-16 |