| NPI | 1710461397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA mA60876424) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60876424) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |