| NPI | 1023861580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 20884) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019018669) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |