| NPI | 1235261298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00003853) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2022-07-21 |