| NPI | 1699902700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR A2403006) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AR 7711) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2024-04-07 |