| NPI | 1952447369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM LPCC0065182) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM LMT0442) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |