| NPI | 1134663198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60703334) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20853) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |