| NPI | 1194002436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 00021764) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00021764) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2019-07-22 |