| NPI | 1962933465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60242875) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2021-09-16 |