| NPI | 1437490653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60323432) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-24850) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2023-05-14 |