| NPI | 1922337898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00003589) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC19624) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2012-12-12 |