| NPI | 1215593116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 18150) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 142214) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-09-23 |