| NPI | 1821603911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8331064) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MASG-786) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2025-10-21 |