| NPI | 1003791153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 12710) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 21497) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |