| NPI | 1285394270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019018566) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 024836) |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2021-12-18 |