| NPI | 1396179206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00021947) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2023-12-27 |