| NPI | 1407990559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-6310) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00012228) |
| 225X00000X Occupational Therapist (Licence: HI OT-278) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |