| NPI | 1508926213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: DC MT0648) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MT0648) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |