| NPI | 1659822153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60683344) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-01-31 |