| NPI | 1689715203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00009950) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA9950) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-11-21 |