| NPI | 1356714984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60606643) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IA 006183) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |