| NPI | 1063680940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60173201) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00015038) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2010-12-16 |