| NPI | 1417266628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60175077) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA60175077) |
| 173C00000X Reflexologist (Licence: WA MA60175077) | |
| 174400000X Specialist (Licence: WA MA60175077) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2011-12-23 |