| NPI | 1750591889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61449596) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00022487) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-09-09 |