| NPI | 1730926023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY PPC-1614) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SD MT11968) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2026-05-27 |