| NPI | 1104447093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NM 19-340) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CHM02007471) |
| 101YP1600X Counselor, Pastoral | |
| 225700000X Massage Therapist (Licence: NM MT7360) | |
| 225700000X Massage Therapist (Licence: CO MT.0024579) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2022-09-20 |