| NPI | 1205053634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 13614) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 77587) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-11-19 |