| NPI | 1417182379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA ma60081935) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA60081935) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2013-02-26 |