| NPI | 1003448960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60924308) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2019029836) |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2023-06-11 |