| NPI | 1013319409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-20254) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60253184) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2022-03-22 |