| NPI | 1124205422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 4088) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00022581) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2014-06-26 |