| NPI | 1669996575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 023599) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C0660) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-15 |