| NPI | 1548407497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 101955) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00014238) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2018-10-24 |