| NPI | 1932459757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15925) |
| Additional Taxonomies | 104100000X Social Worker |
| 225700000X Massage Therapist (Licence: FL MA49047) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2023-04-19 |