| NPI | 1992263966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225700000X Massage Therapist (Licence: WA MA00019285) | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-04-27 |