| NPI | 1326420225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 3583-146) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WI 52167-82) |
| 225C00000X Rehabilitation Counselor (Licence: WA 102923) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-08-24 |