| NPI | 1518503358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 25231) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 61009426) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2024-05-29 |