| NPI | 1235343260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IA 04301) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00017195) |
| 225700000X Massage Therapist (Licence: OR 11465) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |