| NPI | 1609318708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00473700) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL CNA384563) |
| 374U00000X Home Health Aide | |
| 3747A0650X Technician Attendant Care Provider | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2021-07-29 |