| NPI | 1871166504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA6113774) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2022-02-15 |