| NPI | 1801841929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00019126) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: 070202139) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-02-22 |