| NPI | 1861055477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 009861) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2026-05-11 |