| NPI | 1023443603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60543782) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00017259) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2015-03-06 |