| NPI | 1619525235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60193703) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA LA60972344) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-09-28 |