| NPI | 1639223589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00053655) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00011443) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |