| NPI | 1427834589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS-4650) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61260103) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |