| NPI | 1306192380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501014525APP21) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI L2274798) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2022-04-12 |