| NPI | 1710522115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05807700) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT00346100) |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2019-11-10 |