| NPI | 1225676083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 10111-146) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |