| NPI | 1457746679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60558065) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2020-07-23 |