| NPI | 1225243850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA00013957) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA HP10001047) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-01-23 |