| NPI | 1528363579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 696010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225700000X Massage Therapist | |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2021-01-13 |