| NPI | 1053826164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501000246) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401010426) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2022-09-20 |