| NPI | 1346780459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 14540) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60728703) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2023-07-27 |