| NPI | 1023318342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00021893) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10656) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |