| NPI | 1124315502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1117) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18116) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2020-12-24 |