| NPI | 1356734313 |
|---|---|
| Former Name | CARIE SHIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6905) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 5523) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2022-07-18 |