| NPI | 1114591823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61141413) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61141413) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-06-06 |