| NPI | 1528133600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00032767) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00011705) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |