| NPI | 1982189825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61309891) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60894735) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2022-10-01 |