| NPI | 1790874139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002000) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00013299) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-09-11 |