| NPI | 1811268758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 0010912) |
| Additional Taxonomies | 374J00000X Doula |
| 174400000X Specialist | |
| 225700000X Massage Therapist (Licence: CO 0004656) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2016-03-07 |