| NPI | 1134719354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ME MT6670) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 031757) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |