| NPI | 1275246001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT01452600) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 026723-01) |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-26 |