| NPI | 1508212218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60672328) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 101404) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2017-02-08 |