| NPI | 1144776493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 10161) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 14576) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2020-11-09 |