| NPI | 1093989436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SD MT11720) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 13403) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2023-09-06 |