| NPI | 1659589968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA17545) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA17545) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2018-06-18 |