NPI | 1184460206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61691873) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA70012260) |
Enumeration Date | 2024-07-08 |
Last Update Date | 2025-09-15 |