| NPI | 1659793578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 6814) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00011133) |
| Enumeration Date | 2014-01-12 |
| Last Update Date | 2014-01-12 |