| NPI | 1124599907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OK 158333) |
| 225700000X Massage Therapist (Licence: WA 60914214) | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2022-08-16 |