| NPI | 1619950094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00020200) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 00020200) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-11-05 |