| NPI | 1558697896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00013380) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 00013380) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2023-02-14 |