| NPI | 1598077836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 18138) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60160869) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2016-08-11 |