| NPI | 1225356272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60159742) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 7763) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-08-26 |