| NPI | 1508556549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 26704) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 61404091) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |