| NPI | 1548794779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MASS.MA.70002500) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 22707) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-09-09 |