| NPI | 1588932313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60256005) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2023-12-06 |