| NPI | 1083483374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 154879) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501011009) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |