| NPI | 1023353711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60276976) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2019-02-20 |