| NPI | 1538196357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5310) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA9804) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-04-04 |