| NPI | 1215494232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61632689) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH00005961) |
| 174400000X Specialist | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2025-03-14 |