| NPI | 1891072591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA MA 60195988) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60195988) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-22 |