| NPI | 1548655657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61577598) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60539542) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2026-06-04 |