| NPI | 1780884130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924235) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2016-10-31 |