| NPI | 1710138862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60020048) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: A-3888947) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2025-11-25 |