| NPI | 1790075364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 101824) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60217495) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2019-07-26 |