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 |