| NPI | 1093949794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC60612145) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00016737) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2017-01-19 |