| NPI | 1073101903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 25127) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60728272) |
| 225700000X Massage Therapist (Licence: LA LA7372) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |