| NPI | 1659149490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 12389-125) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 4800-146) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2026-04-08 |