| NPI | 1194048009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60036700) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 3937) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |