| NPI | 1619148764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00023605) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma0002305) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2024-09-24 |