| NPI | 1033787171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60236112) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60236112) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-03-25 |