| NPI | 1831344670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12156-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225700000X Massage Therapist (Licence: OR 15717) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2025-03-05 |