| NPI | 1134181902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22844) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227014528) |
| 101YP2500X Counselor, Professional (Licence: IL 180005746) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-02-13 |