| NPI | 1518352806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13170) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA53350) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |