| NPI | 1932220787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW15358) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA23448) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2019-09-26 |