| NPI | 1730334442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61334353) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00021517) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2022-08-02 |