| NPI | 1104788322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MASS.MA.70042551) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 28049) |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |