| NPI | 1699117234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma46559) |
| 251S00000X | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2020-05-06 |