| NPI | 1790018653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC70005224) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60049004) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2025-09-30 |