| NPI | 1609307412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60494059) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60494059) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-02-04 |