| NPI | 1700087764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00002037) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA00008259) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2015-02-23 |