| NPI | 1477145332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 76871) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2022-05-05 |