| NPI | 1609177500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 16872) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60213785) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2012-08-08 |