| NPI | 1922470129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60599790) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21379) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |