| NPI | 1619599701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA H34933) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 79200) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |