| NPI | 1093552614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OK 191214) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2016015089) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |