| NPI | 1508358029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00016887) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P160047570) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |