| NPI | 1891530028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 8612) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |