| NPI | 1326226770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00023080) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 5620978-4701) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |