| NPI | 1811402977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60811941) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 23814) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |