| NPI | 1689106072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: WA MA60615915) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60615915) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-12-07 |