| NPI | 1063818839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 7879) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NV 8301) |
| 225700000X Massage Therapist (Licence: WA MA00018818) | |
| 225700000X Massage Therapist (Licence: HI MAT-17507) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2024-02-07 |