| NPI | 1558659763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60251402) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17319) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-12-17 |