| NPI | 1548576689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 2509) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60180415) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |