| NPI | 1073258075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 20198) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 270620) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |