| NPI | 1164849840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60369935) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20493) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |