| NPI | 1275900490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60554080) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NV NVMT 4554) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |