| NPI | 1023556032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60725172) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT127611) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2019-08-19 |