| NPI | 1275726796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00023844) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: WA T56956) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2013-12-05 |