| NPI | 1174675326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00009886) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma00009886) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-06-24 |