| NPI | 1710466123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60847751) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MAS-3485) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |