| NPI | 1235729625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: LA LA9339) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: LA LA8060) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |