| NPI | 1184064412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 225700000X Massage Therapist (Licence: WA MA 60191640) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2025-04-08 |