| NPI | 1063123651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: 20477) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 77124) |
| 225700000X Massage Therapist (Licence: NY 022192) | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2025-11-28 |