| NPI | 1912718651 |
|---|---|
| Doing Business As | EMBODIED WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LORRIE A JOHNSON Owner 585-270-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |