| NPI | 1437307089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0012618) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 14307900) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2018-05-17 |