| NPI | 1437214566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00013541) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009645) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-08-14 |