| NPI | 1982610523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006309) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00005101) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |