| NPI | 1982953170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61572867) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2025-08-22 |