| NPI | 1184963647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA87242) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00012315) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2025-01-31 |