| NPI | 1649743303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60917712) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60917712) |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2024-10-06 |