| NPI | 1104430560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IA 128118) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 225700000X Massage Therapist (Licence: PA MSG011973) | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2025-08-29 |