| NPI | 1669517447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00013999) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00002244) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |