| NPI | 1235295106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00021989) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00006316) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |