| NPI | 1124803978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 13591986-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61479402) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-07-29 |