| NPI | 1750077517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 27511) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 61395436) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |