| NPI | 1134378268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00025281) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA 00025281) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2013-01-09 |