| NPI | 1194195388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 101345) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-03-25 |