| NPI | 1487068516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00018204) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WA MA00018204) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-06-12 |