| NPI | 1073088175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60971616) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 24658) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2019-10-02 |