| NPI | 1013411560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178008556) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: IL 227000553) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 227000553) | |
| 225700000X Massage Therapist (Licence: IL 227000553) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |