| NPI | 1699411108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61240395) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT109150) |
| Enumeration Date | 2022-05-08 |
| Last Update Date | 2022-09-12 |