| NPI | 1013421999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR R7066) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14370) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2022-10-10 |