| NPI | 1114302874 | 
|---|---|
| Former Name | KATE BATEMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60615948)  | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00018659)  | 
| Enumeration Date | 2015-07-23 | 
| Last Update Date | 2018-06-12 |