| NPI | 1619340742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C11420) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14582) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2026-05-04 |