| NPI | 1003426446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL LPC05672) |
| 225700000X Massage Therapist (Licence: WA MA60776710) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-07-31 |