| NPI | 1891821955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15039) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 0000003782) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2025-04-30 |