| NPI | 1710148093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60268810) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10747) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2012-04-20 |