| NPI | 1386463263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |