| NPI | 1205994183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-12043) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00021673) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-12-14 |