| NPI | 1073321535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 47-14339) |
| Additional Taxonomies | 374K00000X (Licence: WI PWA-4550168) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |