| NPI | 1710059118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA15527) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-05-05 |