| NPI | 1033298955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00010805) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC 60164330) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-04-01 |