| NPI | 1720529746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60827577) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 116444) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2019-03-04 |