| NPI | 1629568415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA MF001670) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG012313) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-11-13 |