| NPI | 1184942658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60549708) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 15055) |
| 225700000X Massage Therapist (Licence: TX MT100515) | |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2015-11-13 |