| NPI | 1811436405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 4927) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 8515) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2022-05-20 |