| NPI | 1093842163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 024201MA00017686) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10306) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-04-07 |