| NPI | 1679620660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 23259) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00017378) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-06-01 |