| NPI | 1376971580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60494704) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225700000X Massage Therapist (Licence: WA MA60402629) | |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2021-02-10 |