| NPI | 1457470791 |
|---|---|
| Other Name | EMILY DELENE AUSTIN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MAOOO13774) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00013774) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |