| NPI | 1366258949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA1329463) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MAS-4755) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |