| 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 |