| NPI | 1033815162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: DE 0015203) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 101541) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-05-30 |