| NPI | 1801127337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00009129) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00009129) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-04-15 |