| NPI | 1295961720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61405997) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14303) |
| 225700000X Massage Therapist (Licence: WA MA60085483) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2025-11-21 |