| NPI | 1538565932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60205629) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18003) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |