| NPI | 1972849750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19895) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60328559) |
| Enumeration Date | 2012-12-23 |
| Last Update Date | 2019-01-31 |