| NPI | 1811758576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61486209) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MAS-4998) |
| 225700000X Massage Therapist (Licence: OR LMT-27858) | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |