| NPI | 1821483017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-50642) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00019302) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2026-02-09 |