| NPI | 1073995429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60540879) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20139) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2018-09-01 |