| NPI | 1801201835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60453285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61395647) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2023-10-16 |