| NPI | 1336951540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR LMT19564) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60530952) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |