| NPI | 1518220938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 111920) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60293148) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2018-05-22 |