| NPI | 1841348158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00009884) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 11906) |
| 172M00000X Mechanotherapist (Licence: WA MA00009884) | |
| 225700000X Massage Therapist (Licence: OR 11906) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-03-17 |