| NPI | 1326255795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60733803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00032654) |
| 225700000X Massage Therapist (Licence: WA MA00016100) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-05-11 |