| NPI | 1487923389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60198012) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60198012) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2022-07-21 |