| NPI | 1346385531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00011955) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-11-04 |