| NPI | 1841806338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451025085) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501006796) |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2026-08-04 |