| NPI | 1568019040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60326547) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60326547) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |