| NPI | 1649567033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 14158227-3501) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 366756-4701) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2025-07-01 |