| NPI | 1972881266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C-6670) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 25705) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2025-10-16 |