| NPI | 1083960819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS-4823) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60242451) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2023-03-13 |