| NPI | 1053699629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 13947) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00023485) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2024-07-09 |