| NPI | 1164819702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA WA60930522) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2019-02-28 |