| NPI | 1831211374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 225700000X Massage Therapist (Licence: OR 6832) | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-01-12 |