| NPI | 1316213663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA60022299) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma60022299) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2021-01-07 |