| NPI | 1366974883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12016A) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 07366) |
| 101YP2500X Counselor, Professional (Licence: NC A12911) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-28 |