| NPI | 1851637953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 20278) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60320034) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2023-03-27 |