| NPI | 1245313295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60239573) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00005326) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-09-10 |