| NPI | 1952522328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00017559) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA00017559) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-06-17 |