| NPI | 1184312886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61539492) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 61539492) |
| 225700000X Massage Therapist (Licence: FL MA90788) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-07-23 |