| NPI | 1053561670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00019884) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA CN60115113) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2011-05-09 |