| NPI | 1053897223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 06863360) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 23699) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |