| NPI | 1073407565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: 80900) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: 80900) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: 80900) | |
| 102X00000X Poetry Therapist (Licence: 80900) | |
| 106H00000X Marriage & Family Therapist (Licence: 80900) | |
| 225A00000X Music Therapist (Licence: 80900) | |
| 225700000X Massage Therapist (Licence: 80900) | |
| 364SH0200X Clinical Nurse Specialist, Home Health (Licence: TX 80900) | |
| 374K00000X Religious Nonmedical Practitioner (Licence: 80900) | |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2026-05-04 |