| NPI | 1407101801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1100290) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.013669) |
| Enumeration Date | 2012-07-21 |
| Last Update Date | 2017-04-26 |