| NPI | 1073755237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 101540) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: WA MA60055196) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2017-02-17 |