| NPI | 1124860960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-18363) |
| 261QP3300X Clinic/Center, Pain | |
| 173C00000X Reflexologist (Licence: AZ MT-18363) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |