| NPI | 1073150504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 3073) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6859) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |