NPI | 1962679217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA15347) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MA000105347) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2010-01-07 |