| NPI | 1336414614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA0006614) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT13271) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |