| NPI | 1912462417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-crm-374) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2023-03-01 |