| NPI | 1376900605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451023731) |
| 101YM0800X Counselor, Mental Health | |
| 225700000X Massage Therapist (Licence: MI 7501006782) | |
| Enumeration Date | 2016-01-17 |
| Last Update Date | 2024-11-18 |