| NPI | 1699031997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 225700000X Massage Therapist (Licence: WA MA 60080226) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2026-05-07 |