| NPI | 1346499134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225700000X Massage Therapist (Licence: MD M03473) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2023-02-17 |