| NPI | 1740617836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60348074) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT021588) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |