| NPI | 1205564564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 028037-01) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006949-01) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |