| NPI | 1063957462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60717156) |
| Additional Taxonomies | 111NR0400X (Licence: CA T167337) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |