| NPI | 1003277955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 16901) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG000610) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2024-10-23 |