| NPI | 1861144719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 133N00000X Nutritionist |
| 225700000X Massage Therapist (Licence: OR 5579) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-02-11 |