| NPI | 1093595076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 12736) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 20143) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |