| NPI | 1700445988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR MT-24043) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60820911) |
| 225700000X Massage Therapist (Licence: AZ LMT-24437) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |