| NPI | 1699406959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 248.004776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016771) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2024-06-18 |