| NPI | 1386130854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225700000X Massage Therapist (Licence: OR 24487) | |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2024-02-29 |