| NPI | 1013796093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR INTERN) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 25424) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2025-03-18 |