| NPI | 1821180415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT LCSW-344) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT LMT 627) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-11-28 |