| NPI | 1912444134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 109335) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60196168) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |