| NPI | 1306445929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61112347) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OK 149803) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |