| 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 |