| NPI | 1275914343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61065984) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21470) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-09-02 |