| NPI | 1184198855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 24780) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60924607) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |