| NPI | 1134951577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61581588) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SD MT11021) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |