| NPI | 1225324940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 015947) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 015947) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-02-22 |