| NPI | 1336699164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2024-09-17 |