| NPI | 1619331543 |
|---|---|
| Former Name | LATICIA M BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60686525) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60686525) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-01-21 |