| NPI | 1972649663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00017046) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00017046) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-01-12 |