| NPI | 1629480629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MASS.MA.60471248) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA60471248) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2025-10-13 |