| NPI | 1194422980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI 7155) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0014713) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |