| NPI | 1831344670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 15717) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2016-10-28 |