| NPI | 1003050774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00006526) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA 00006526) |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2025-08-12 |