| NPI | 1548078785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID 6171146) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA Ma61642753) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |