| NPI | 1225892367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61206973) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61206973) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |