| NPI | 1164109054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 11061) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-17768) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-04-11 |