| NPI | 1366922213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7221) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 8318) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-05-19 |