| NPI | 1760043848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60833260) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-03-26 |