| NPI | 1609922103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60814974) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00017953) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-12-18 |