| NPI | 1518256064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 3843) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-05-12 |