| NPI | 1184169633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60704905) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 22776) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |