| NPI | 1821371287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18261) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT4652) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2020-01-09 |