| NPI | 1063211704 |
|---|---|
| Former Name | AMBER RENAE HODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 225116) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 24864) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |