| NPI | 1891331963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0025793) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60693176) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-08-01 |