| NPI | 1922252626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00024808) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MS LMT1564) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2009-09-16 |