| NPI | 1245372127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 8290) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00016429) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-06-21 |