| NPI | 1184112666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT124589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH160) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2026-01-26 |