| NPI | 1497939029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA MHC.LH.61531527) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225700000X Massage Therapist (Licence: WA MA00025085) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2026-06-30 |