| NPI | 1659027456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP17286) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD R01570) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2025-11-26 |