| NPI | 1295224939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60843236) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61687786) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2026-04-01 |