| NPI | 1699910810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60242501) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14903) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2014-05-02 |