| NPI | 1558488676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13480) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-09-23 |