| NPI | 1972047454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60668112) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 22303) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |