| NPI | 1548440456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00023725) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00059225) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |