| NPI | 1962718080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 9221775-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60163027) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2015-08-24 |