| NPI | 1033271614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00015960) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60359963) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-01-27 |