NPI | 1568692796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60014833) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00048632) |
225700000X Massage Therapist (Licence: WA MA00007338) | |
Enumeration Date | 2009-07-22 |
Last Update Date | 2009-07-22 |