| NPI | 1588150940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC70000015) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC70000015) |
| 225700000X Massage Therapist (Licence: WA MA61027087) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2025-07-02 |