| NPI | 1063241131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-22791) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-08646) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |