| NPI | 1760769343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60255085) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA60255085) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2018-03-15 |