| NPI | 1033889464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MN 00005751) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA97528) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-08-01 |