| NPI | 1023602182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 028629-01) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2024-04-01 |