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 |