| NPI | 1972807782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 277648) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY KY-1620) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2024-01-22 |