| NPI | 1285960419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 12328) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 00024881) |
| 225700000X Massage Therapist (Licence: TX 045095) | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |