| NPI | 1902130420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60109474) |
| Additional Taxonomies | 173C00000X Reflexologist |
| 225700000X Massage Therapist (Licence: OR 16566) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |