| NPI | 1144612201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 023440) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501006233) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2023-10-05 |