| NPI | 1548677180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60468503) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WA MA60468503) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2018-06-13 |