| NPI | 1609240969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60680103) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21490) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2016-08-26 |