| NPI | 1245992288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019007669) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225A00000X Music Therapist | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |