| NPI | 1396584298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 16589) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2025-06-03 |