| NPI | 1154033363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 029414-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CT 10729) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |