| NPI | 1841593530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60191440) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17771) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2013-09-13 |