| NPI | 1588964076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60183780) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60183780) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2020-11-23 |