| NPI | 1548412687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 15623) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma00024988) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2022-03-11 |