| NPI | 1528106952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1811) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NE 250) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-07-20 |