| NPI | 1043765290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227017963) |
| 103T00000X Psychologist | |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 101200000X Drama Therapist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2025-11-05 |