| NPI | 1013202522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MX110072) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MASG-943) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2021-12-30 |