| 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 |