| NPI | 1518114537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 399) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM LMHC # 0107341) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |