| NPI | 1508730433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61229933) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA MT3893) |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-24 |