| NPI | 1144451543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60078470) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2021-07-19 |