| NPI | 1386877132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60201891) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT 60190874) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2011-01-20 |