| NPI | 1720490733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24307) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M02048) |
| Enumeration Date | 2014-05-25 |
| Last Update Date | 2024-01-05 |