| NPI | 1073238804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 033768-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT01440600) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2024-12-20 |