| NPI | 1952601916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA BA MA 60184192) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60184192) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2015-08-07 |