| NPI | 1992088140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60073162) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00010320) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2014-08-28 |