| NPI | 1154174431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019011986) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M05704) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |