| NPI | 1831654235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 10439698-3502) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 10439698-4701) |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2024-11-11 |