| NPI | 1043973738 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 25426) | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 225700000X Massage Therapist (Licence: FL 103332) | |
| Enumeration Date | 2021-10-19 | 
| Last Update Date | 2025-04-16 |