| NPI | 1639579410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA 61453426) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00023680) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2024-01-26 |