| NPI | 1518190727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60108110) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA60108110) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2023-06-14 |