| NPI | 1295908333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00024378) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00024373) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-11-05 |