| NPI | 1477787166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 14127) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00023462) |
| 225700000X Massage Therapist (Licence: CA 4590) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2012-04-20 |