| NPI | 1881805919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 1020266) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 3877) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-12-28 |