| NPI | 1063189629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 146585) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 76385) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2026-01-07 |