| NPI | 1952839128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60723423) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21963) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |