| NPI | 1316690480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61177212) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT013384) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2024-04-09 |