| NPI | 1245723949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-1023) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI mat-13917) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-04-25 |