| NPI | 1568126977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61156920) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 00001106) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |