| NPI | 1801575279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-27012) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60439279) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-03-04 |