| NPI | 1598108417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60987873) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 23641) |
| 225700000X Massage Therapist (Licence: TX MT114870) | |
| 225700000X Massage Therapist (Licence: CA 26859) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-11-08 |