| NPI | 1831870849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MASS.MA.61454721) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 27772) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2026-02-25 |