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 |