| NPI | 1396046140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60191846) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA60191846) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2011-10-10 |