| NPI | 1184498131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ND 22150) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA79375) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |