| NPI | 1992226062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60763158) |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| 173C00000X Reflexologist | |
| 225700000X Massage Therapist (Licence: OR LMT-023358) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |