| NPI | 1477307189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 26861) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60611151) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-10-28 |