| NPI | 1497538433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701016084) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019012393) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2026-05-26 |