| NPI | 1275135972 |
|---|---|
| Former Name | LISA MARIE KLINGELHOEFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019013803) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2023-08-23 |