| NPI | 1508157744 |
|---|---|
| Former Name | MELISSA MARIANNE MANSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI 14847) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60211559) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2020-03-20 |