| NPI | 1245910363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 12965) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |