| NPI | 1093841769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00023562) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21381) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2015-06-12 |