| NPI | 1568194702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 12778) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 12778-146) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-01-10 |