NPI | 1518344191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60992066) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60504724) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60904069) | |
133N00000X Nutritionist (Licence: WA NU60792429) | |
Enumeration Date | 2015-05-02 |
Last Update Date | 2023-11-27 |