| NPI | 1215166830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 022590) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 022590) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-02-02 |