| NPI | 1942577911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60499240) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60255388) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2020-02-04 |