| NPI | 1295205060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61510416) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60908528) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2024-06-11 |