| NPI | 1619490737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA Ma60785537) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI Mat16090) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2020-09-08 |