| NPI | 1952886467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60899384) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU61602147) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2025-11-07 |