| NPI | 1033512934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60269955) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MAS-998) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2016-11-01 |