| NPI | 1649683376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LPC-2908) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF-60140407) |
| 225700000X Massage Therapist (Licence: WA MA-00024354) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |