| NPI | 1831826841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61340112) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA OC60834372) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |