| 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 |