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 |