| NPI | 1780740340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011339) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC#00044497) |
| 225700000X Massage Therapist (Licence: WA MA00006193) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-01-10 |