| NPI | 1124375340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60282150) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019015881) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2023-12-23 |