| NPI | 1164132502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: LA 3265) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |