| NPI | 1376846675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60716315) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma00013591) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2017-01-03 |