| NPI | 1366931057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 19004) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60700248) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-01-25 |