| NPI | 1548667504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20793) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2021-12-29 |