| NPI | 1285147934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60691675) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 22827) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |