| NPI | 1841798691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG61680015) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CL70021877) |
| 225700000X Massage Therapist (Licence: WA MA60720990) | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2025-09-15 |