| NPI | 1871824458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60696523) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 8680) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2025-07-05 |