| NPI | 1578038394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60886665) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA M60886665) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2025-03-14 |