| NPI | 1841848884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 023547) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2021-04-29 |