| NPI | 1053123273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M06799) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019017078) |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |