| NPI | 1437421138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66459) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 512082) |
| 225700000X Massage Therapist (Licence: TX 016474) | |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |