| NPI | 1750897765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60799217) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60799217) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2022-08-29 |