| NPI | 1972007193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SC60885179) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60826362) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2020-08-18 |