| NPI | 1679464465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 29106) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61678535) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |