| NPI | 1407300205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10987) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2019-12-04 |