| NPI | 1578931200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60605111) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2021-10-12 |