| NPI | 1447405857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18-P121309-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 015120) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2024-06-04 |