| NPI | 1568019040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 61049469) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60326547) |
| 225700000X Massage Therapist (Licence: WA 60326547) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-10-24 |