| NPI | 1235388299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH 00005042) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 7641) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2011-03-24 |