| NPI | 1548419773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LIC 5217) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00024956) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2017-01-24 |