| NPI | 1801176524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI 16823) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 16124) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2024-02-17 |