| NPI | 1144503533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18399) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2024-08-15 |