| NPI | 1447490438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00018562) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10797) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |