| NPI | 1134416324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60422621) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60319179) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2022-07-21 |