| NPI | 1194576934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M06574) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225A00000X Music Therapist | |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |