| NPI | 1588308365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 25467) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61022196) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-01-22 |