| NPI | 1245854942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NE 2372) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IA 094565) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |