| NPI | 1053038521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202214429RN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 202214429RN) |
| 225700000X Massage Therapist (Licence: OR 14111) | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2025-10-29 |