| NPI | 1982038501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61651713) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA61322236) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2025-06-02 |