| NPI | 1386720829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00000815) |
| 171M00000X Case Manager/Care Coordinator (Licence: WA CP00004233) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-12-31 |