| NPI | 1184758153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60955540) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OR 11365) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-02-20 |