| NPI | 1023765096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019011091) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT014779) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-02-05 |