| NPI | 1285901348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60067981) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT109720) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-12-07 |