| NPI | 1679306179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 29211) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL M78570) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-08-29 |