| NPI | 1780878173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00024057) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA24057) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2021-07-26 |