| NPI | 1649668138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6803) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21093) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-08-24 |