| NPI | 1831535699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: WA 80817) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60346418) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2021-07-22 |