NPI | 1396179206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00021947) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2023-12-27 |