| NPI | 1740061225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61503216) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-11-15 |