| NPI | 1154075380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT01409400) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT013720) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |