| NPI | 1427588250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60762953) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60762963) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |