| NPI | 1235000555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2024050343) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.023873) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |