NPI | 1124489786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD R02162) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MD D14115-27) |
225700000X Massage Therapist (Licence: SC 13459) | |
225700000X Massage Therapist (Licence: MD RO2162) | |
Enumeration Date | 2016-03-10 |
Last Update Date | 2024-03-09 |