| NPI | 1033794896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 16094) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: RI MT02542) |
| Enumeration Date | 2021-03-13 |
| Last Update Date | 2021-03-13 |