| NPI | 1407189863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MHC8943) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA32919) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2018-05-02 |