| NPI | 1003611906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-23029) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 08497-1) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |