| NPI | 1184488090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23277) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH23277) |
| 225700000X Massage Therapist (Licence: FL MA99029) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |