| NPI | 1679110670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 14317-146) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 14317) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2023-10-19 |