| NPI | 1336304278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-0078) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 5546) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-01-31 |