| NPI | 1598524894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61531980) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 28209) |
| 225700000X Massage Therapist (Licence: NC 21032) | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |