| NPI | 1952815136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501004321) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451019597) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2022-05-09 |