| NPI | 1033306378 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00003078)  | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60332955)  | 
| Enumeration Date | 2007-10-01 | 
| Last Update Date | 2016-06-27 |