| NPI | 1053925446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019014533) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT2307) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |