| NPI | 1396862892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 6985) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-07-08 |