| NPI | 1093426850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019009653) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 2022-3983) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |