| NPI | 1528548633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS-3848) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60877114) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-11-12 |