| NPI | 1770149551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 20068964) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2026-06-09 |