| NPI | 1669679346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00022293) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00022293) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-06-15 |