| NPI | 1003648833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NE 4106) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IA 127082) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2026-01-29 |