| NPI | 1306114608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA ma00020850) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 11933) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |