| NPI | 1770149551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 20068964) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2024-05-29 |