| NPI | 1295025070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 8427257-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60075036) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2013-02-13 |