| NPI | 1750859609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006939) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102956) |
| 101YP2500X Counselor, Professional (Licence: VA 0701006939) | |
| 225700000X Massage Therapist (Licence: VA 0019012154) | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-04-24 |