| NPI | 1053985630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.024745) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-12-01 |