| NPI | 1417405713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60676554) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 22405) |
| 225700000X Massage Therapist (Licence: SC 5999) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |