| NPI | 1144094780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 75067) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NV NVMT11428) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |