| NPI | 1972305290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 14129438-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61559396) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-04-05 |