| NPI | 1700237666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 810) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA7707) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |