| 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 |