| NPI | 1043909344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 209392) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-01-07 |