| NPI | 1649628488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60634221) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2025-01-21 |