| NPI | 1174994339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60040241) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT113431) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |