| NPI | 1073156816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61577613) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60936498) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2025-02-27 |