| NPI | 1497186043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61130270) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60421023) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2020-12-17 |