| NPI | 1073910196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60520653) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2017-02-02 |