| NPI | 1851737399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61026247) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0012547) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2020-12-29 |