| NPI | 1780718932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61074767) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00021773) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2021-07-14 |