| NPI | 1538545249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60688942) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21426) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2022-12-13 |