| NPI | 1548741564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60620243) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-02-01 |