| NPI | 1750178232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61658880) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 28258) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |