| NPI | 1649435009 |
|---|---|
| Former Name | NIKKIE RENEE LATTION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14233) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-05-30 |