| NPI | 1538421425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT 246) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60594255) |
| 225700000X Massage Therapist (Licence: MT 3416) | |
| 225700000X Massage Therapist (Licence: WA MA 60214606) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2020-02-17 |