| NPI | 1194273367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60824013) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA OC60602513) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2018-04-05 |