| NPI | 1285945931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 15398) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60156485) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2025-07-22 |