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 |