| NPI | 1497434898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61442455) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT117945) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |