| NPI | 1487904991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60226179) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60304103) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2013-03-04 |