| NPI | 1548695356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 225700000X Massage Therapist (Licence: WA 60336031) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2022-01-06 |