| NPI | 1477700367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC 281) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: HI MAT 9172) |
| 172M00000X Mechanotherapist (Licence: WA MA 00021877) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2015-05-28 |