| NPI | 1164588190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61090605) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00051386) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-07-23 |