| NPI | 1316169840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60113938) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MAOOOO8119) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-11-07 |