| NPI | 1427174788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 10667) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT005337) |
| 225700000X Massage Therapist (Licence: WA MA 60142936) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-01-27 |