| NPI | 1285178731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 10121243-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60713154) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2022-07-21 |