| NPI | 1265147607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 13315866-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61393504) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-11-17 |