| NPI | 1356551543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NC10042479) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA11731) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-09-11 |