| NPI | 1639385552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00003647) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00002106) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |