| NPI | 1225577885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004272) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00009799) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2021-01-26 |