| NPI | 1649502782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 14520) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60060119) |
| Enumeration Date | 2010-01-30 |
| Last Update Date | 2010-01-30 |