| NPI | 1003173337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00023398) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00034498) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2019-04-27 |