| NPI | 1437567591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 8095) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00016398) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-02-28 |