| NPI | 1306354873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61469726) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 21792) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-01-11 |