| NPI | 1952801714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60257339) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-16843) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |