| NPI | 1629816574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17799) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA.61181051) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |