| NPI | 1891969788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA24601) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 15323) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2013-06-02 |