| NPI | 1255069670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61201935) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-21117) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |